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Deficiency Records for Fair Haven Shelby County
View the most recent health deficiencies and inspection results for Fair Haven Shelby County. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Fair Haven Shelby County. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-27 | 2026-03-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-11 | 2025-09-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-11 | 2025-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-14 | 2025-09-11 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-06-11 | 2025-09-11 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2025-06-11 | 2025-08-14 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-06-11 | 2025-08-14 | N |
| Post nurse staffing information every day. | Health | 2025-06-11 | 2025-08-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-06-11 | 2025-08-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-11 | 2025-08-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-06-11 | 2025-08-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-11 | 2025-08-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-06-11 | 2025-08-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-06-11 | 2025-08-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-11 | 2025-08-14 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-06-11 | 2025-08-14 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-06-11 | 2025-08-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-06-11 | 2025-08-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-06-11 | 2025-08-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-06-11 | 2025-08-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-06-11 | 2025-08-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-11 | 2025-08-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-06-11 | 2025-08-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-11 | 2025-08-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-11 | 2025-08-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-11 | 2025-08-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-11 | 2025-08-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-06-11 | 2025-08-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-11 | 2025-08-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-06-11 | 2025-08-14 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-11 | 2025-08-14 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-06-11 | 2025-08-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-06-11 | 2025-08-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-06-11 | 2025-08-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-11 | 2025-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-11 | 2025-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-30 | 2025-01-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-30 | 2025-01-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-12-30 | 2025-01-21 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-10-09 | 2024-10-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-09 | 2024-10-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-06 | 2024-02-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-06 | 2024-02-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-06 | 2024-02-21 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-20 | 2022-12-09 | N |
| Dispose of garbage and refuse properly. | Health | 2022-10-20 | 2022-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-20 | 2022-12-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-10-20 | 2022-12-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-10-20 | 2022-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-21 | 2020-03-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-11-21 | 2020-03-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-21 | 2020-01-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-21 | 2020-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2020-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2020-01-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-21 | 2020-01-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-11-21 | 2020-01-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-21 | 2020-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-21 | 2020-01-10 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-11-21 | 2020-01-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-21 | 2020-01-10 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-21 | 2020-01-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-21 | 2020-01-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-21 | 2020-01-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-11-21 | 2020-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-21 | 2020-01-10 | N |